Potter, Eric C
Potter, Eric C is an individual health care provider with primary practice located at 2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Potter, Eric C can be contacted via phone (423) 857-2793.Contact Information
Primary practice address
2033 Meadowview Ln Ste 200
Kingsport TN 37660-7569
Phone: (423) 857-2793
Fax: (423) 578-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36165 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36165 | Tennessee |
Profile Details
| NPI number | 1730180423 |
|---|---|
| LBN Legal business name | Potter, Eric C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Mar 25th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730180423 | NPPES |
| Other | P00635228 | RAILROAD MEDICARE | |
| Other | 4178280 | RAILROAD MEDICARE | |
| MEDICAID | 38763541 | RAILROAD MEDICARE | |
| MEDICAID | 4142480 | RAILROAD MEDICARE | |
| Other | 7100046250 | RAILROAD MEDICARE |
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